Kristal L. Wallace, FNP-BC
Family NP · Edgewood, NM
UnclaimedFNP-BCNPI 1801752449
- Primary taxonomy
- 363LF0000X
- Enumerated
- 2025-12-29
- Practice location
- Edgewood, NM
- Last NPPES update
- 2026-05-06
State licenses
- NM · Nurse practitioner · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.